| NPI | 1326004482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE BENNETT CEO/Pa 972-522-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TX PA01240) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-06-20 |